When I was on duty, I heard from the doctor that the hospital is like this: the registration fee is 20 minutes in 20 yuan. Content: Doctors can diagnose the disease quickly and prescribe medicine. In hospitals, doctors have the right to diagnose and prescribe. I want to consult in the hospital. How about 60 minutes in 60 yuan? Does such a cheap price blind your eyes? If you go to the China-Japan Friendship Hospital and meet a Daniel like Li Zixun, the price is basically 12 years later. If we wait like this, we will either commit suicide or heal ourselves.
What about that kind? Such a short time is suitable for people who take a certain medicine, so that they can prescribe it, because only those who have the right to prescribe it can prescribe it. It also applies to cases that need to be diagnosed. I think Hu Tianyi's psychological consultation is not in the true sense, but a medical diagnosis in the psychiatric department.
Even doctors may decide whether to diagnose or prescribe drugs according to the institution where they work. For example, my counselor told me that I must distinguish between counseling and treatment. At school, he is a psychological counseling teaching institution, so he never gives a diagnosis, labels or prescribes drugs. Of course, after the visitor leaves, if we ask, he will tell us his diagnosis and say that the best way to treat suicide is electric shock! ! Very effective, but the principle is not clear.
Check the consultation method
Different methods will inevitably lead to different processes. For details, please refer to my introduction to consultants.
That's too theoretical. I feel familiar with it. It looks like an excerpt from the original text of the consultant exam textbook. But it is not so clear in practice. I said that female consultant A of cognitive therapy doesn't look like it either.
The teacher spoke in an orderly way, and even told me not to be dogmatic and to follow the visitors. You set a consultation goal, but the visitor will change the next moment. Don't go as planned. This may be the reason why many people think that psychological counseling is an art.
But according to my follow-up experience, no matter what school of methods, these teachers have a transformation in the initial stage. Make your needs or goals clear through your description, and then use their professional perspective to see what is behind them and turn them into consultants' goals. For example, the visitor said that she was very fat and wanted to lose weight through psychotherapy. By understanding the situation, the teacher set the goal as: to improve the relationship with his mother, so as to improve self-acceptance. Ha, ha, ha, on the surface, eight poles are out of reach! !
3. Look at the counselor's personality and attitude towards psychological counseling.
The introduction part of consultants talked about the styles of different consultants. Counselors should not make decisions for visitors. This is the affirmative answer. There is a simple reason. If you or your family members don't sign the operation list, even if you die, the doctor won't operate on you. So, what other important points should the consultant give advice? Should it be completely neutral? Should self-disclosure be about yourself or the experiences of other visitors? Different answers to these three questions show that psychological counselors hold different values on psychological counseling and the counseling process is different.
One kind of consultant thinks that visitors should be given advice. Like male consultant A, the advantage is that visitors will find the consultation useful in a short time and build trust quickly. He will come again next time. After all, you can't solve the problem at once (to add some truth, the income of consultants is always unstable). There is a teacher in Sichuan, Mr. Agsang Zeren, who is also of this style (I judge by his psychological program and his legend), but this requires the consultant to be in a relatively authoritative position, and you have no right to speak. Why should I take your advice? The gas field of consultants is very demanding. If you are still a young college student, come on! Observe the enemy before using this trick. Do not use it.
Typologically, he will spray you to death! Authority is sometimes a paper tiger from packaging hype marketing. Speaking of Hu Tianyi, a type who dares to challenge, it will soon be over without some real skills!
Many people in China think that consultants should give advice, which has a cultural foundation. According to China's traditional thought, if I regard you as an authority, you must give me what I need, or once I trust you, I will entrust myself to you. Personally, I think that consultants must give advice and cultivate their ability to think independently, otherwise when will it end? Counselors can't be with you forever! ? Personal income? ! Consultants who want to base their personal income on such visitors are all unscrupulous people! If the visitor has a strong sense of autonomy, or needs to learn to be independent in close relationships, then he is probably unwilling to work with such a consultant. If the problem of visitors is that it is difficult to get along with authority, yes! It's a disaster for both of you, unless he loves spending money on you, you love spending money on your supervisor, and you both love spending time playing 300 rounds! ! You were cured at the same time. What a harmonious result!
Some people think that visitors should be guided to find the answer in a certain way. Note that the consultant will not be completely neutral at this time, he will show his views or positions. For example, the cognitive therapy mentioned earlier is not to give advice, but what kind of cognition is not suitable for holding and needs to be changed. You learned it by studying. For example, visitors think that "there is no such thing as a good man". Then your brain will tell you that it is a "black and white" or "over-generalization" misunderstanding according to its stored cognitive therapy theory. If you guide him to change this concept, then what you do is equivalent to giving him advice-this understanding is not suitable for human beings! Similar therapies include family institutional arrangements. Several founders told us in their works how to maintain the correct order and relationship between family members. What family planners need to do is to use certain methods according to these "should have" to make visitors deeply aware of the existing problems and the corresponding adjustment methods.
There is also a group of people who think that companionship and affection are enough without any advice and guidance. The corresponding treatment methods include "people-centered therapy", "understanding group therapy" and some schools of many new psychoanalysis schools. He is a mirror, reflecting your emotional complex, and he is a guide, accompanying you to take risks. His main task is to create a safe environment. Sometimes he needs to play a role. This role is the person you need to experience in your life. Sometimes you need to blend in with you and experience everything from your perspective. This is also a high demand for consultants, as well as for personality and self-growth.
The problem is that the first time you go to consult, you are anxious to ask "what should I do?" Tell me what to do. "I don't know." (I saw the male consultant C do it with my own eyes. If you are a tourist, how do you feel? If the problem is not solved, you will meet a consultant who is different from you. Will you go next time? If you were a consultant, how would you feel and what would visitors think of me? Will he come next time? What a powerful counselor said such a thing!
Updated on 20 18. Later, my master temporarily called him the male teacher S (it is not accurate to say consultant, therapist, supervisor, teacher, master of art, master of abuse, master of abuse, master of destruction, and warm man of literature and art). Some people call it the death of therapy, so I will use a teacher's name to represent my mixed feelings of love and hate for the time being.
The real treatment is not a wise man with more resources, more power and more ways to teach you how to handle and understand a thing, but two poor people with the same pain, where they meet and nod to each other, so you are here. I remember he quoted the general secret of psychotherapy handed down to us by his master. ...
Where they are, we are there.
The best consultants will treat visitors differently according to their personality, demands, emotional state, consultation stage and the urgency of the problem. In short, living without a fixed place, born with a heart! This is the most difficult and worth cultivating!
First of all, it is clear that psychological counseling and psychiatric outpatient service are two different things. Although some hospitals also have psychological counseling, they are actually more psychiatric clinics. I'm not sure about the standard of psychiatric outpatient service, but if the registration fee is not much different from the registration fee of a few dollars, I think it must be very direct and quick, although it is extremely unreasonable.
The key principle of psychological counseling is confidentiality. In formal psychological counseling, apart from special types (such as couples or group counseling), strictly speaking, there are only counselors and visitors.
Psychological counseling, it is very important to choose the right consultant. In China, it is difficult to screen reliable institutions (as mentioned above, hospitals are not necessarily psychological counseling) in China. Because I met some friends before and I am familiar with the industry, I chose an institution that I think is relatively reliable. When choosing a consultant, look at the price first (the price is really expensive. . ), and then read the introduction on the website, and chose a consultant who looks pleasing to the eye and has a sense of security (this is very important and has a preliminary sense of security and goodwill).
But this is only the first step in choosing, and you have to have real contact to judge whether it is appropriate, so you have to be prepared to change consultants. In fact, I didn't feel good at the first consultation, but I think we can try again several times before we can gradually build mutual trust. This is very important. If you feel that you can't trust it two or three times, change it decisively. Don't think that if you encounter something bad, you will deny psychological counseling itself. Consulting this kind of thing is the interaction between people, looking at fate.
In general, the first negotiation, including the previous consultations, is actually a process of building trust. Counselors will try to calm your emotions, get basic information and deepen your understanding. Generally, he doesn't ask too much, because the sense of security has not been established. When I was consulting, for the first time, the consultant wanted to ask me something very secret, which made me very unhappy. I refused directly. I almost wanted to change consultants at that time.
Although different schools have different styles, on the whole, consultants are not inclined to give advice directly. So, if you meet a consultant who is too authoritative and keeps telling you what to do, you can stop changing people unless you just like being guided by authority. Such consultants are generally too self-righteous.
What the consultant does is to help you understand yourself better, and let you know what your problem is, what you want, what you can do and so on through the interaction and timely confirmation between you and him. Therefore, the real relationship is very important, and both people should be real. If the professional relationship between patients and doctors cannot be transformed into a more natural and authentic relationship, it can be said that it is difficult for psychological counselors to really help you (this is absolutely correct, and some schools, such as psychoanalysis, pay more attention to maintaining the relationship between authority and patients). That's the point. It was after the seventh consultation that I slowly began to become more natural.
Another basic principle of consultants is not to make judgments. You should understand and respect your values, your behavior and yourself (even a consultant can't understand and accept it, how can you expect visitors to accept it themselves? )。 This is a basic principle and premise. For those consultants who judge your values and behaviors and label you, you can also turn around and leave. Unfortunately, there is no complaint channel in China.
In addition to dealing with emergencies (such as psychological problems caused by some extreme situations), psychological counseling is often not a one-off event. To put it bluntly, the counselor will not give you direct advice, but guide you to know yourself a little bit, accept yourself and face the reality positively. This is definitely not an easy and quick thing.